Granulomatöse Kolitis mit Pseudopolyp bei Schistosomiasis

Meybehm, M.; Dworák, O.

doi:10.1055/s-2008-1066545

Cited by 8 publications

(6 citation statements)

References 6 publications

(9 reference statements)

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“…Thus differential diagnosis may entail inflammatory bowel disease and/or colorectal malignancy. Symptom frequency is often affected by intensity of the infection, and the spectrum of intestinal schistosomiasis may vary from granulomatous disease to diffuse proctocolitis with polyposis (8,15), as was in the case of our patient. The extended duration of symptoms such as found in this patient who is from a resource-limited setting could have contributed to the development and severity of polyposis.…”

Section: Case Presentationsupporting

confidence: 51%

“…Discussion Schistosoma proctocolitis is a rare disease entity, with limited literature on its occurrence. This was a case report study on Schistosomal proctocolitis and polyposis, which must be considered within the differential diagnosis of gastrointestinal disease when treating patients from endemic areas (8,15). We presented a 17-year-old male from an endemic area in Nyanza, Kenya, who presented with protruding rectal mass with per rectal bleeding.…”

Section: Case Presentationmentioning

confidence: 99%

“…Surgical therapy has a role in severe or chronic cases refractory to medical treatment. It may include resection of the colonic polyps, or partial colectomy for gastrointestinal polyposis (9,15). Medical therapy is thus crucial and recommended in the prevention and management of intestinal schistosomiasis.…”

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confidence: 99%

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Schistosoma mansoni proctocolitis with polyposis

Bosire¹,

Orwa²,

Mwachiro³

et al. 2018

Ann Afr Surg.

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Schistosoma proctocolitis is a rare disease entity, with limited literature on its occurrence. We report the case of a 17 year old male from an endemic area around Lake Victoria, Western Kenya, where detailed disease mapping of Schistosomiasis has been carried out. The patient presented with a seven year history of a protruding rectal mass and occasional hematochezia. Colonoscopy revealed multiple polyps involving the entire colon to the anus, and pathology showed inflammatory polyps secondary to Schistosoma

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Section: Case Presentationsupporting

confidence: 51%

Section: Case Presentationmentioning

confidence: 99%

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Schistosoma mansoni proctocolitis with polyposis

Bosire¹,

Orwa²,

Mwachiro³

et al. 2018

Ann Afr Surg.

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“…A differential diagnosis may include a variety of colonic diseases, such as inflammatory bowel disease, infectious colitis, and colorectal malignancies. There is a correlation between symptom frequency and infection intensity, and the spectrum of colonic schistosomiasis varies from diffuse proctocolitis to granulomatous disease or isolated polyposis [ 13 , 14 ]. As in our patient, all parts of the colon can be affected, but inferior mesenteric vein territory involvement in most of the cases indicates the infection most frequently involves the descending colon [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Colonic Polyps an Unusual Manifestation of Schistosomiasis

et al. 2020

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Patient: Male, 24-year-old Final Diagnosis: Large rectal polyps secondary to Schistosoma infection • Unusual colonic polyp caused by Schistoma infection Symptoms: Abdominal pain • bleeding per rectum Medication: During the procedure: Xylocaine local gel • Midazolam inj • Fentanyl inj; For the disease: Praziquantel tab Clinical Procedure: Colonoscopy with endoscopic submucosal resection (EMR) • endoscopic submucosal resection (EMR) Specialty: Gastroenterology and Hepatology • Endoscopy Objective: Report of misleading rare disease to avoid an unnecessary invasive intervention Background: Although reports of bilharizial colonic polyps are very rare in the literature, we report a case of a large rectal polyp as a manifestation of chronic intestinal bilharzia. A high index of suspicion in an endemic area is the key factor to avoid unnecessary medical interventions. Case Report: We report a case of a 24-year-old male patient who was married, born in Taiz North Yemen, and worked as a military soldier. He presented to our clinic with a complaint concerning intermittent lower abdominal pain and several months of rectal bleeding. A colonoscopy was performed at the Endoscopy Unit of King Khalid Hospital, Najran, Saudi Arabia on September 23, 2019 and results showed 2 large rectal polyps, (measuring 4×3 and 2×3 cm), located 10 cm from the anal verge, having wide bases and irregular surfaces that mimicked dysplastic polyps. Both polyps became elevated after a normal saline/methylene blue injection. An endoscopic mucosal resection was successfully performed with no immediate complications. The histopathology showed benign polyps due to Schistosoma -induced colonic infection. Conclusions: It is very difficult and challenging to differentiate Schistosoma -induced colonic polyps from other colonic polyps even with an endoscopic evaluation; thus, a high index of clinical suspicion is required mainly in an endemic area, which may prevent the physician from ordering unnecessary interventions and thus avoid severe complications.

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“…They arise due to granulomatous inflammation surrounding eggs deposited in the bowel wall. A granulomatous colitis with pseudo polyp has been reported [ 25 ]. It can present sometimes as a mass adherent to the abdominal wall or adjacent organs.…”

Section: Discussionmentioning

confidence: 99%

Schistosomiasis manifesting as a colon polyp: a case report

Issa

Osman

Aftimos³

2014

J Med Case Reports

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IntroductionSchistosomiasis is a rare disease with a common intestinal involvement. However, colon polyps associated with Schistosoma in the absence of inflammation have rarely been reported, especially in young people; this is the first case with the following presentation.Case presentationWe describe the case of a 20-year-old Ethiopian woman living in Lebanon who presented with nonspecific abdominal symptoms. Her biochemical profile was normal in addition to the results of her stool and urine tests. A colonoscopy showed normal colonic mucosa but surprisingly a large pedunculated polyp was found in her ascending colon. Pathology revealed a hamartomatous polyp but it was full of partially calcified parasitic eggs of Schistosoma mansoni compatible with chronic schistosomiasis.ConclusionsShe was treated with two doses of praziquantel and showed immediate marked clinical improvement. This unusual case will give us the opportunity to discuss schistosomiasis, its occurrence in colon polyps, clinical significance and the various means of management.

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Granulomatöse Kolitis mit Pseudopolyp bei Schistosomiasis

Cited by 8 publications

References 6 publications

Schistosoma mansoni proctocolitis with polyposis

Schistosoma mansoni proctocolitis with polyposis

Colonic Polyps an Unusual Manifestation of Schistosomiasis

Schistosomiasis manifesting as a colon polyp: a case report

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